Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS ALEX BERRY M.D.
NPI 1639816382
Dermatology in Santa Ana, CA

Active since May 15, 2022
1125 E 17TH ST STE W248, SANTA ANA, CA 92701(714) 547-5151 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 1, 2026, May 15, 2022 (2 updates tracked since 2022).

About Nicholas Alex Berry M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS ALEX BERRY M.D. (NPI 1639816382) is an individual dermatology provider in Santa Ana, California, licensed in California (A211678) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1639816382
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameNICHOLAS ALEX BERRYCredential: M.D.
Location Address1125 E 17TH ST STE W248Santa Ana, CA 92701-2205
Mailing Address1125 E 17th St Ste W248Santa Ana, CA 92701-2205
Sole ProprietorNo
Enumeration DateMay 15, 2022
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
NPI 1639816382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A211678
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1125 E 17TH ST STE W248, Santa Ana, CA 92701

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1125 E 17TH ST STE W248
SANTA ANA, CA 92701
Dermatology
1125 E 17TH ST STE W248
SANTA ANA, CA 92701
Dermatology
1125 E 17TH ST STE W248
SANTA ANA, CA 92701
Physician Assistant
1125 E 17TH ST STE W248
SANTA ANA, CA 92701
Physician Assistant (Medical)
1125 E 17TH ST STE W248
SANTA ANA, CA 92701
Non-Pharmacy Dispensing Site
1125 E 17TH ST STE W248
SANTA ANA, CA 92701
Physician Assistant (Medical)
1125 E 17TH ST STE W248
SANTA ANA, CA 92701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Berry's NPI number?

The NPI number for Nicholas Berry is 1639816382. It was assigned to this individual provider in the NPPES registry on May 15, 2022.

Where is Nicholas Berry located?

Nicholas Berry practices at 1125 E 17th St Ste W248, Santa Ana, CA 92701. The listed phone number is (714) 547-5151.

What is Nicholas Berry's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Nicholas Berry was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.